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Dumping syndrome after esophageal atresia repair without antireflux surgery
Laurent Michaud1, Rony Sfeir, Frédéric Couttenier
1Division of Gastroenterology, Hepatology and Nutrition, Jeanne de Flandre Children's Hospital and Lille University Faculty of Medicine, 59037 Lille, France.
Insights
Dumping syndrome can occur in children after esophageal atresia surgery, even without prior reflux treatment. Consider this condition in surgically treated esophageal atresia patients with digestive issues or failure to thrive.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Dumping syndrome is often linked to gastroesophageal reflux surgery in children.
- Esophageal atresia repair is a complex pediatric surgical procedure.
Observation:
- Two pediatric cases of esophageal atresia presented with dumping syndrome.
- These cases lacked typical triggers like prior anti-reflux surgery or microgastria.
Findings:
- Dumping syndrome can arise post-primary anastomosis for esophageal atresia, independent of antireflux procedures.
- The study highlights a potential complication following esophageal atresia surgical repair.
Implications:
- Clinicians should consider dumping syndrome in pediatric patients with esophageal atresia who exhibit digestive symptoms, malaise, or failure to thrive.
- Early recognition and management of dumping syndrome are crucial for improving outcomes in surgically treated esophageal atresia patients.
Abstract:
In childhood, the surgical treatment of gastroesophageal reflux is the main cause of dumping syndrome. We report the cases of 2 children with esophageal atresia who presented with dumping syndrome without any precipitating known factors, such as gastroesophageal reflux surgery or associated microgastria. Our data suggest (1) that dumping syndrome can occur after primary anastomosis of esophageal atresia without antireflux surgery and (2) that dumping syndrome should be considered in every child treated surgically for esophageal atresia presenting with digestive symptoms, malaise, failure to thrive, or refusal to eat.
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